Objetivo: A pesquisa visa descrever o perfil epidemiológico dos óbitos causados pela DHA entre os anos de 2006 e 2015 no estado do Rio Grande do Sul (RS). Método: Por meio do banco de dados do DATASUS e dados demográficos da população de cada região, calculou-se a taxa de mortalidade a cada 100.000 habitantes. A análise foi dividida em sexo (feminino e masculino), ano (2006 a 2015), faixa etária (0-19, 20-59 e 60+) e macrorregiões do RS (Vales, Sul, Serra, Norte, Missioneira, Metropolitana e Centro-Oeste). Resultados: A região Metropolitana apresentou o maior número total de mortes (2277 homens e 279 mulheres), seguida por Norte, Serra, Centro Oeste e Missioneira Sul. Ao analisar o número de mortes por 100.000 habitantes, a região Norte apresentou a maior taxa de mortalidade. Em relação aos sexos, houve maior prevalência do sexo masculino com diferença significativa (p0,012) para as duas variáveis e, no que tange a faixa etária, as maiores taxas foram encontradas no grupo dos idosos (60 anos ou mais). Conclusão: A DHA ainda é uma condição com grande impacto no sistema público de saúde brasileiro. Estratégias para melhorar o rastreamento, políticas públicas voltadas à prevenção do consumo de bebidas alcoólicas e o conhecimento epidemiológico da doença são indispensáveis para haver redução da morbimortalidade tanto no RS quanto em outros estados brasileiros. Incluir o resumo.
Sex cord tumor with annular tubules (SCTAT) is a rare ovarian pathology. It is usually an incidental finding in asymptomatic patients. In about 30% of cases, this tumor is associated with the Peutz-Jeghers syndrome (PJS). This case report describes an incidental finding of SCTAT during an excisional surgery of a giant mucinous cystadenoma in the contralateral ovary. In addition to the finding of a rare tumor in association with a rare syndrome, a literature review on the diseases, their association, and management was performed.
A infecção parasitária pelo Ascaris lumbricoides representa um acometimento comum no Brasil e em outras regionalidades subdesenvolvidas. A localização do verme em vesícula biliar é rara e quando há presença de quadro clínico importante, essa hipótese deve ser levantada como diagnóstico diferencial frente a outras doenças da árvore biliar. Relatamos o caso de paciente de 65 anos admitido em emergência devido à pancreatite por etiologia de áscaris em vesícula biliar, o qual, posteriormente, evoluiu para quadro alarmante de disfunção de múltiplos órgãos.
Introduction:To evaluate the prevalence of appendix neoplasia correlating with patient profile, histological types and frequency. Methods: Data collection was performed in the Pathology Department of a General Hospital, with the objective of identifying patients diagnosed with malignant cecal appendix tumors by histopathologic study of specimens from acute appendicitis.
Results:The prevalence of malignant primary epithelial neoplasia of the appendix was 1%. Fifty percent of the cases were neuroendocrine tumors, 35% were mucinous, and 15% were adenocarcinomas. The mean age at diagnosis was 41.3 (SD, 20.4) years (range16-81), with a women/men ratio of 3:1. Discussion: Appendiceal neoplasms are rare and should be suspected manly in women over 40 years of age with suggestive symptoms of acute appendicitis. The size, location, extent, margins and presence of mucin are essential findings for the treatment of these patients.
Background: Wilson’s disease (DW) is a genetic disorder characterized by the accumulation of copper in the body. The copper accumulation is systemic and occurs in several tissues, with the central nervous system (CNS) being one of the most affected sites. The use of imaging tests is not necessary for the diagnosis. However, in the suspicion of neurological damage, Magnetic Resonance Imaging (MRI) plays an important role in the assessment of the metal deposit in the CNS and in the clinico-anatomical correlation in symptomatic patients. Objectives: to identify the characteristic findings of DW in neuroimaging exams. Methods: a narrative literature review. Results: in MRI, the most affected sites in the CNS are the basal ganglia (mainly the outermost portion of the putamen), followed by the midbrain, the pons, and the thalamus. Alterations are bilaterally and symmetrically. T2 sequence reveals hyperintensity in putamen, the most common abnormality, as well as in the rest of the basal ganglia. Eventually, it is possible to identify the “panda sign” in the axial section of the midbrain, due to the involvement of the tegmental region associated with the normal signal of the red nuclei and hypointensity of the superior colliculus, characteristic of DW. In the T1 sequence, patients with neurological symptoms present hypointense images. Conclusions: MRI has a diagnostic and prognostic role in DW. The putamen is the most affected structure, but abnormalities in the pons, midbrain, and thalamus are part of the neuroimaging spectrum of Wilson’s disease. The “panda sign” is the classic MRI finding.
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